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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

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HALL, BROOKE KATELYN
Practice Address: 10109 E 79TH ST
TULSA OK 74133

Address last updated on 3/18/2024
Phone #: (918) 233-9550
Fax #: (918) 300-1059
County: TULSA
License: 4701
Dated: 12/21/2021
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
10109 E 79TH ST
TULSA OK 74133

Phone #: (918) 233-9550
Fax #: (918) 300-1059

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CRISTIN MARIE BRUNS MD 26704
JEANNETTE CAROLINA POWER MD 25814

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